We heard you've got skills

Pediatric RN

  • This self evaluation is for assessing your experience in specific clinical areas. This self evaluation will not be a determining factor in accepting your application to become an employee of Fusion Medical Staffing.

    • 0 = Not Applicable
    • 1 = No Experience
    • 2 = Some Experience
    • 3 = Intermittent Experience
    • 4 = Experienced
    • 5 = Very Experienced

    *Required fields

    AGE OF PATIENTS CARED FOR 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • GENERAL SKILLS 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • CARDIOVASCULAR 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Care of Child With 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Medications 0 1 2 3 4 5
  • 012345
  • PULMONARY 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Oxygen Delivery System 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Care of the Child With 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Medications 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • NEUROLOGICAL/ ORTHOPEDIC 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Care of the Child With 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Medications 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • GASTROINTESTINAL 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Feedings 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Care of the Child With 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • ENDOCRINE/ METABOLIC 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • Care of the Child With 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Medications 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • Genitourinary 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • Catheter 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Care of the Child With 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Care of the Child With 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Medication 0 1 2 3 4 5
  • 012345
  • MEDICATION ADMINISTRATION FOR CHILDREN 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • PHLEBOTOMY/ IV THERAPY 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • Administration of Blood/ Blood Products 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • Care of the Child With 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • Infectious Disease/ Immunosuppression 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • Care of the Child With 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • PSYCHIATRIC 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • WOUND MANAGEMENT 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • 012345
  • PAIN MANAGEMENT 0 1 2 3 4 5
  • 012345
  • Care of the Child With 0 1 2 3 4 5
  • 012345
  • 012345
  • 012345
  • The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Fusion Medical Staffing. Submit this skills evaluation with your initial application. To be updated annually.

  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.
logo-header

Submitting.... Please don't leave this page.